NPI 1013134816

Joseph Sam Hadaway, ATC

Practitioner Athletic Trainer Macon, GA

Practice location

Address: 4660 Riverside Park Blvd, Macon, GA 31210-1395
Phone: (478) 474-0240
Fax: (478) 475-1340
Mailing address: 120 Osigian Blvd # B Suite 100, Warner Robins, GA 31088-7880

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT001243 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1013134816
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.